Welcome New Providers

We are excited to work with you to deliver quality care to our members – your patients – to ensure they have the best possible healthcare experience. Providing exceptional member satisfaction and operational excellence are top priorities for Buckeye. Our goal is to become your trusted partner in caring for our most vulnerable population. We believe in being easy to work with, so we’ve created a this customized page with everything you need to get started, all in one place.

Natalie Lukaszewicz
Vice President, Network Development and Contracting

Provider Home Page

To ensure we make our providers aware of the latest updates and key information, how to contact us and access to our secure provider portal, we maintain our Provider Home Page. On this continuously updated page, you’ll also find the website main menu to take you wherever you want to go. Be sure to bookmark this page as your entry point to the Buckeye website and portal.

Provider Communications and Updates

Provider Important Notices
New announcements and activities

Provider Updates - chronologically
Updates to established policies and procedures.

Provider Update Newsletter & Archive
Be sure to sign up to receive our monthly Provider Update Newsletter.

Provider Resources

For a wide variety of everyday or special needs you can access our Provider Resources section of the website for a list of various information you’ll find useful. Among the many items are our Clinical and Payment Policies, Appeals Information, Forms and our Provider Manual.

Member Website Information
Member Services: 866.246.4358
Member ID Cards (PDF)

Portal Login

Once you have created an account, you can use the Buckeye Health Plan provider portal to:

Verify member eligibility
Manage claims
Manage authorizations
View patient list
Login/Register

Claims Information

Claims submission information:
Please see our Provider General Billing Information and Guidelines within the Provider Manual.

Claims Payment Policies Medicaid

Pharmacy

Buckeye Health Plan is committed to providing appropriate, high-quality, and cost-effective drug therapy to all Buckeye Health Plan members. See our Pharmacy website page for details.

The Preferred Drug List (PDL)
ODM Pharmacy Website
Prior Authorization Information
Other Pharmacy Resources

Find Your Provider Relations Representative

While our excellent Provider Services are available to answer your everyday questions, if you need special attention for an issue, reach out to your assigned Provider Relations Representative. Our Provider Rep Territories page displays this information by county, zip code or special group.